Provider Demographics
NPI:1215562145
Name:BIEGLER, NATHANIEL (DC)
Entity Type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:
Last Name:BIEGLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 RIVIERA DR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6742
Mailing Address - Country:US
Mailing Address - Phone:407-462-5773
Mailing Address - Fax:
Practice Address - Street 1:32629 BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3907
Practice Address - Country:US
Practice Address - Phone:352-326-2481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor